Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $234.42 / $501.19	Facility		$72.44	$234.42	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $79.43	Professional		$54.95	$67.61	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $1,023.29	Facility		$398.11	$524.81	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $275.42	Professional		$123.03	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.20 / $169.82	Professional		$44.67	$91.20	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $331.13	Facility		$67.61	$100.00	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $436.52	Professional		$91.20	$169.82	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $173.78	Professional		$91.20	$117.49	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $173.78	Professional		$117.49	$158.49	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,659.59	Professional		$1,230.27	$1,412.54	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $125.89 / $199.53	Facility		$46.77	$125.89	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $309.03	Professional		$74.13	$158.49	$309.03